| Carrier Provider Type |
Paid Claims Error Rate |
Provider Compliance Error Rate |
No Resolution Rate |
| Paid Error Rate |
Projected Improper Payments |
Standard Error |
95% Confidence Interval |
/
|
/
|
/
|
/
|
/
|
/
|
/
|
| All Provider Types With Less Than 30 Claims |
1.2% |
$970,528 |
0.4% |
0.5% - 1.9% |
14.5% |
0.0% |
| Family Practice |
4.5% |
$945,919 |
1.5% |
1.5% - 7.4% |
12.1% |
0.0% |
| Cardiology |
4.4% |
$650,010 |
1.5% |
1.5% - 7.3% |
14.1% |
0.0% |
| Internal Medicine |
3.5% |
$427,556 |
1.2% |
1.1% - 5.9% |
14.7% |
0.0% |
| Physician Assistant |
5.4% |
$278,754 |
2.5% |
0.5% - 10.3% |
18.4% |
0.0% |
| Chiropractic |
9.4% |
$273,611 |
4.9% |
( 0.3%) - 19.1% |
30.8% |
0.0% |
| Orthopedic Surgery |
2.7% |
$158,305 |
1.6% |
( 0.4%) - 5.7% |
32.1% |
0.0% |
| Dermatology |
2.9% |
$145,180 |
1.7% |
( 0.3%) - 6.2% |
4.0% |
0.0% |
| Emergency Medicine |
3.0% |
$119,216 |
1.9% |
( 0.6%) - 6.7% |
8.1% |
0.0% |
| Physical Therapist in Private Practice |
1.2% |
$105,815 |
0.9% |
( 0.6%) - 3.0% |
8.1% |
0.0% |
| Nurse Practitioner |
7.6% |
$96,863 |
4.2% |
( 0.6%) - 15.8% |
26.0% |
0.0% |
| Ophthalmology |
0.4% |
$62,608 |
0.3% |
( 0.2%) - 0.9% |
5.7% |
0.0% |
| General Surgery |
0.6% |
$56,773 |
0.5% |
( 0.3%) - 1.6% |
24.9% |
0.0% |
| Urology |
1.3% |
$53,932 |
0.9% |
( 0.5%) - 3.1% |
6.9% |
0.0% |
| Podiatry |
1.2% |
$32,273 |
1.2% |
( 1.2%) - 3.6% |
13.3% |
0.0% |
| Clinical Laboratory (Billing Independently) |
0.0% |
$0 |
0.0% |
0.0% - 0.0% |
11.3% |
0.0% |
| Optometry |
0.0% |
$0 |
0.0% |
0.0% - 0.0% |
27.8% |
0.0% |
| Pathology |
0.0% |
$0 |
0.0% |
0.0% - 0.0% |
23.1% |
0.0% |
| All Provider Types |
2.1% |
$4,492,925 |
0.3% |
1.6% - 2.6% |
14.2% |
0.0% |
| Diagnostic Radiology |
1.0% |
$115,582 |
1.0% |
( 0.9%) - 2.9% |
4.0% |
0.0% |
|
|